Permit CITY TIGARD. PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLM2005-00517
k�l 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/4/2005
PARCEL: 1 S 135AB -01002
SITE ADDRESS: 10220 SW GREENBURG RD 551 ZONING: R -12
SUBDIVISION: LINCOLN CENTER /THREE LINCOLN LOT: 009 JURISDICTION: TIG
Project Description: Cap (4) fixtures. Other fixtures: hub drain, primer. <:
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: COM WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: 1 URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES: 2
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
EQUITY OFFICE PROPERTIES TRUST Description Date Amount
' ONE SW COLUMBIA ST #300
PORTLAND, OR 97258 [PLUMB] Permit Fee 10/3/2005 $72.50
[TAX] 8% State Surchari 10/3/2005 $5.80
Phone : 503 293 - 2745 Total $78.30
Contractor:
MP (MILWAUKIE) PLUMBING CO
P.O. BOX 393 REQUIRED ITEMS AND REPORTS
CLACKAMAS, OR 97015
Phone : 503 655 - 9161
Reg #: LIC 5002
PLM 3 - 17PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of these rules or direct questions to OUNC by
calling 503 - 246 -6699 r 1- 800 - 332 -2344. � ,Q
•
Issued By: �:t/L i Permittee Signature: _/ 9 4 t 2 X29
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans am required on the job site at the time ofeach inspection.
SE il 01, 14:48 FROM -MP " I[ig �� 5036551726 T -643 P.002/003 F-189
Bull
EIl/E
' Fut u r es
Plumbing Permit Applicagion3 0 2005 FOR OFFICE USE ONLY
Ci or Ti and CITY Received I ! P erm • No.: ,
t3' g O F TI G Date/B . W�� L....L� "n' S
13125SVVHJ;ll BIvd. Tigard, 0lt 97�LI�IN DI V ARp
Plan Revie
Phone: 503.639.4171 Fax: 503.598 S' i ;.: � ,, i ' • •\ Da • Other Permit N � S t _. Do y(5
24- Hour Inspection Iin 503.639.4175 �►�,. •i � i
Date Ready/By: Faris: El Sea Page 2 for
Internet www.e:f.tigard.or.us • Notified/Method: JIS BSA%.,,v qp Supplemental Information
i t J S t r e J ti i �' + " �r �` "mod r X r r l a t ri 'F K r.� 17 � eY '
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i ~ +�' Lr 1. 4 J 5 ",� i�'..:. ?�i ` ��S •1!u �L� = �C3' =.��r� r .._�Y • ^I7.J • �- �r er:.wn . ,.
❑ Ncw.constnterion ❑ Demolition • • For special information use checkiis .
Description Qty. Es. Total
►_/ Addition/alteration/replacement ❑ Other: New 1 - - family dwellings (includes 100 ft. for each utility connection)
M •ks , 1iR � � iT y<t � t 71: � "B � rir r
I' }t. hl � u ,' ,`� , �l d„1y sl ctPC #lrTdj3 ? i I I °' SFR (1) bath . 24920
1Y
❑ 1- and 2- family dwelling - • i Conunertialr*ditctrial SFR (2) bath 350.00
❑ Accessory building : ❑ Multi - family SFR (3) bath 399.00
❑ Master builder ❑ Other: Bach additional bath/kitchen 45.00 •
� , ,� ` P,. 1. -- .r � - ,,,. -e • 4 Fire sprinkler sq. ft) Page 2
'*.j. + E y r i•TYr� Z IP 'fi:Ci k * i � Nl' G:i7 6 ' ir:i e(4):1! 7 �k c ^ r..: :
i1� - ' - _ ' A 4 _�• .. r r-1 ;Z .
�. _ - 3'• , Site utilities
Job site address: , gb • _ - , _' ,L •4 tv Catch basin or area drain 16:60•
City /StatelZIP• "--n17 1 I r Ol 2..7.. Drywoll, leach lint, or trench drain . 16.60
Suitt//bldgJapt. no.: Project Warne: G n1 _ s / ' ' s Footing drain (no. linear ft : } Page 2 _ .
Cross street/directions to job Sits: Manufactured home utilities 110.00
Manholes 16.60
Rain drain connector 16.60
Sanitary sewer (no-linear ft-: _) Page 2 '
Storm sewer (no. linear ft.: ) Page 2
Subdivision 1 Lot no -: Water service (no. linear ft.: ) Page 2
Fixture or item
Tax map/parcel no.:
, � ...� :syy .' �� r A11,-.; eye. j .,. y ,y c , a Absorption valve 16.60
1,ez T� -ors . 4 . 4, ?7 sra ' Ap " 51.41.4 irr"x i ?1.r �kKli_:i- 3eC T Backflow preventer Page 2
-e-fs d &4 Backwater valve 16.60
. Clothes Washer 16.60 •
Dishwasher . • 16.60 ' • . •
M : ,:, , 7. ��' :t: ,; `'' r :: a . .: �,.r �� .r. u --- -;,;T •1. - ,-7 Drinking fountain 16.60
. i f j ` : ' •rte''." e} 4 %" ,rb�� • d,0 l ' lF �6)� S ti ••i
. -^ fir•. ti.R s . 7%-d i11 -.. r::Yel... "1•.. �:�r x - r..� ..c1 Ejectors /sump r � 16.60
Name: Q ..S.c N. e- K ' - - . . • Expansion tank • • e 16.60
Addr'es's:
`��� � �� � •.s jr ,Nr vo ,r% �1 Se- >+ Fixture/sewer cap ,401P AO 16.60 O
City/State/ZlP: _ IIIIVY - 7.22 - Floor drain/floor S .421, -- 0 16.60 •
Phone: (• ) . Fax: ( ) Garbage disposal • 16.60
-,3,• t,hti r �r 1�'rs9 E;ea'`i111�F1'���j :f -7i;i :.� , lr � sziis t ;J � � (rc� Hose bib 16.60 _ • <c - .1fc.'i.;A c'r_e_.1, -- 1: .,1_ :."r . :J2 ; :1.22-i I
ti -- -. <.u..iu_� c T-,Ta ice maker 16.60
Business name: '-`N1Q ` NtN.V\ ANCN, () Interceptor /grease trap - 16.60
Contact name: ■ , � - r - Medical gas (value: $ ) Page 2
Address: `----- CQ \ !.i -4,01 Primer C l . 16.60
City/State/ZIP• a �_ . +`
Roof drain (commercial) 16.60
Plaonc Fax" asin/lavatory Cap. a 16.60 �
-1) A O�S \ L. • (5�) 14S u . /shower /shower pan 16.60 _
E- mail:' Urinal 16.60
�.,✓s xL .,r N Ci` 1 '� a x"A"s ��a +9n.. ?jr 'GJ .rF 7S" �� R4. r � r r • ..
r � y.} � {y ' i 1 '' . ` �' 1.4 ��f�+r Z *-:ir,� a 1 44 5 I M Water closet 16 -60
Business name: cY N__SIM \,j4.1.--1^4 , ^C: Water heater ('' 14 4). - - j 16.60 - . -
City/State/ZIP: `, 0 -1( >\S Subtotal /s?
Minimum permit fee: 572.50
Phone: (1. k _ ` �1 Fax: (5 (.55 _ t e, Residential backflow minimum Emit fee: $36 -25
CC :33 Lice i _� Plumbing Lie. no. : '.\� Plan review (25 % of permit fee)
Authorized signature: 4/1111/0 ` State surcharge (8% of permit fee) , �(j
_. TOTAL PERMIT FEE L 7 g. 3.cj
Print name: a - Dater I Io / I This permit application expires If a permit is not obtained within
•
180 days after It has been accepted as complete.
'Fee methodology set by Tri- County Building Industry Service Board.
cIHuildin g- P.irilmpa ctoc 17/13 440 -4616TO 0/01GOM/WEa)
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: PLIv12005-00517
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/4i2005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 _III- _J..
INSPECTION WORKSHEET FOR DATE: 11/3/2006 TIME: 7:06AM PAGE: 33
SITE ADDRESS: 10220 SW GREENBURG RD 551 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT #: 009 TYPE OF USE:
PROJECT NAME: APEX SYSTEMS
DESCRIPTION: Cap (4) fixtures. Other fixtures: hub drain, primer.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503-293-2745
CONTRACTOR: MP (MILWAUKIE) PLUMBING CO PHONE #: 503-655-9161
Inspection Request Scheduled For: Date: 11/312005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 020239-01 503-655-9161
Corrections/Comments/Instructions:
.ASS J PARTIAL APPROVAL El CANCEL I I NO ACCESS
fl FAIL CALL.FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Date: 1 0 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION ',. PERMIT #: PLM2005 -00517
• fr 13 5 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/4/2005
',' - %( -: (503) 639 -4171 /mwp o,,,h� �
In-, r tion Requests (24 Hrs.): (503) 639 -4175 AA
mss.
INSPECTION WORETIEET FOR DATE: 10/7/2005 TIME: 7 :05AM PAGE: 63 ,
SITE ADDRESS: 10220 SW GREENBURG RD 651 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT #: 009 - TYPE OF USE:
PROJECT NAME: APEX SYSTEMS
DESCRIPTION: Cap (4) fixtures. Other fixtures: hub drain, primer.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503 - 293 - 2745
CONTRACTOR: MP (MILWAUKIE) PLUMBING CO PHONE #: 503 -655 -9161
Inspection Request Scheduled For: Date: 10/7/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
320 Plumbing rough -in 017726 -01 503 - 655 -9161 N
Corrections /Comments /Instructions:
‘ i_PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL I l CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Or Date: /6 7 J Phone #: (503) 718 -
G